Troubleshooting tips

CPAP Troubleshooting Guide

Problem	Possible Cause	Correction
Mask leaks. Skin Irritation. Pressure sores or blisters.	Strap adjustment too loose or too tight. Incorrect mask size. Worn-out mask Dirty mask	Readjust headgear straps.  The mask can be as loose as possible if a seal is created. Consult a Respiratory Therapist for a mask fitting.  There are options such as nasal pillows and full-face masks. Inspect masks for stiffness, cracks, breaks or wear-and-tear. Wash mask daily or as instructed; wash face nightly; avoid using facial crème/lotion.
Dry nose and/or throat. Nasal congestion.	Dry air.	Try using nasal saline spray before bedtime and when you wake up. Add heated humidification. May take some desensitizing. Consult physician or Respiratory Therapist if symptoms persist.
Dry mouth.	Sleeping with mouth open.	Try using a chinstrap. A full-face mask may be used. 3.  Add heated humidification.
Sore, Dry, Irritated, or swollen eyes; conjunctivitis.	Mask is leaking. 2.  Mask is too tight.	Try adjusting the mask on the face. Readjust the headgear straps. Check mask for cracks, breaks or stiffness.  Replace if needed.
	Dry air.	Try using saline nasal spray   before bedtime. Add heated humidification.
Allergic rhinitis.	Irritants drawn in with room air into CPAP machine.	Place CPAP unit on a bedside table to keep dust, animal hairs, etc. out of the machine. Add heated humidification. Consult physician if symptoms persist.
Chest discomfort. Sinus discomfort. Difficulty exhaling.	Pressure requirement may be lower at the beginning of sleep. Initial adjustment period.	Try using the ramp mode on the CPAP machine. A different mask may be needed. Contact physician or Respiratory Therapist if symptoms persist.
CPAP unit is too noisy.	Blocked air intake. CPAP machine is too close to sleep area.	Check if air filter is clean. Make sure mask is snug and not leaking. Utilize six feet of CPAP tubing. Contact Respiratory Therapist if machine continues to make noise.
Bed partner intolerance.	Multiple factors (noise, anxiety, etc.)	Promote education of the patient and bed partner. Recommend attending a patient support group.